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LUKE ALAN RHOTON OD
NPI 1316780042
Optometrist in Augusta, ME

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luke Alan Rhoton Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE ALAN RHOTON OD (NPI 1316780042) is an individual optometrist in Augusta, Maine, licensed in Maine (OPT1084) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316780042
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLUKE ALAN RHOTONCredential: OD
Location Address1 VA CTRAugusta, ME 04330-6795
Mailing Address1135 Cove Creek Mine LnDuffield, VA 24244-2500 · (276) 594-6843
Phone(207) 623-8411
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1316780042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT1084
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1 VA CTR, Augusta, ME 04330
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Alan Rhoton Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335684885
PECOS Enrollment IDI20251222000015
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EVELYN ROSE DAWSON
Registered Nurse (Medical-Surgical)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
JOSHUA PENNEY
Physical Therapist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (603) 630-0648
DR. RACHEL ANN MAYER PHARMD
Pharmacist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
WILLIAM KENNETH WANG
Pharmacist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
DR. JAMES P SMITH OD
Optometrist
1 VA CTR, TOGUS VAMC EYE CLINIC
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
MS. DONNA MARIE GALLANT LCSW
Social Worker (Clinical)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
DEPT. OF VETERANS AFFAIRS
General Acute Care Hospital
1 VA CTR, RADIOLOGY, VA TOGUS
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
BRIAN P MILLS MD
Anesthesiology (Addiction Medicine)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Rhoton's NPI number?

The NPI number for Luke Rhoton is 1316780042. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Luke Rhoton located?

Luke Rhoton practices at 1 VA Ctr, Augusta, ME 04330. The listed phone number is (207) 623-8411.

What is Luke Rhoton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Luke Rhoton enrolled in Medicare?

Yes. Luke Rhoton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luke Rhoton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Luke Rhoton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luke Rhoton affiliated with any hospitals?

According to CMS data, Luke Rhoton is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Luke Rhoton was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.